NPI 1770565384

Jeffrey John Kelly, DO

Practitioner Dermatology Physician Traverse City, MI

Practice location

Address: 3643 W Front St Suite a, Traverse City, MI 49684-7759
Phone: (231) 935-0620
Fax: (231) 935-0626

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 5101020217 (MI)

Other Dermatology providers in Michigan →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 055534 (GA)

Registry record

NPI: 1770565384
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Nov 2005
Record last updated: 24 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.